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New Living Will Form
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I, __________________________, being of sound mind and body, do not wish to be kept alive indefinitely by artificial means. Under no circumstances should my fate be put in the hands of pinhead politicians who couldn't pass ninth-grade biology if their lives depended on it, or lawyers/doctors interested in simply running up the bills.
If a reasonable amount of time passes and I fail to ask for at least one of the following:
______ cold beer
______ glass of wine
______ Bloody Mary
______ Margarita
______ Scotch and soda
______ Martini
______ Vodka and Tonic
______ Bourbon on the rocks
______ Steak
______ Lobster or crab legs
______ The remote control
______ Bowl of ice cream
______ The sports page
______ new rifle
______ Chocolate
______ Sex
it should be presumed that I won't ever get better.
When such a determination is reached, I hereby instruct my appointed person and attending physicians to pull the plug, reel in the tubes and call it a day.
Signature: ___________________________
Date: ___________________________
